腹腔镜探查并输卵管通液临床分析

目的应用腹腔镜诊断技术探讨不孕症的病因,评价腹腔镜对不孕症的诊断价值。方法应用腹腔镜对253例不孕症妇女的盆腔及内生殖器进行检查,分析盆腔疾病和不孕的发生及其相关因素。结果腹腔镜检查发现盆腔器质性病变242例,阳性率为95.65%。慢性盆腔炎、子宫内膜异位症和多囊卵巢综合征是引起不孕的主要盆腔疾病,分别占81.82%、30.30%和17.58%;慢性盆腔炎患者中91.85%有1侧或双侧输卵管梗阻;子宫内膜异位症患者中20%有输卵管梗阻;腹腔镜与输卵管碘油造影检查输卵管通畅度符合率为67.17%;术前127例患者进行超声检查,经腹腔镜证实91例,符合率71.65%。结论腹腔镜对盆腔疾病所致的不孕症诊断（尤其是不孕症的盆腔病因）和治疗有重要价值;对疑有盆腔疾病或原因不明的不孕症患者应尽早腹腔镜诊治以明确诊断。

Analysis of 253 female patients with infertility under laparoscopy detection and hydrotubation

Objective To investigate the causes of infertility and evaluate the diagnostic value of laparoscopy in disgnosis of in-fertility.Methods The pelvic and internal genitalia were examined of 253 female patients with laparoscopy.The relationship between pelvic disease and infertility were analyzed.Results 242 out of 253 cases （ 95.65% ） had pelvic disease.Pelvic inflammatory disease （ 81.82%） ,endometriosis （ 30.30%） and polycystic ovarian syndrome （ PCOS,17.58%） were major causes in infertility.There were 91.85% patients with pelvic inflammatory disease and 20% with endometriosis presented fallopian obstruction.The results of hysterosal-pingography （ HSG） were consistent with laparoscopy,accounting 67.17% .127 cases received ultrasonography examination,the result of 91 cases （ 71.65% ） were confirmed by laparoscopy.Conclusion Laparoscopy is of great value on the infertility of which results from pelvic inflammatory disease,endometriosis and polycystic ovarian syndrome.The pelvic inflammatory disease is the cardinal cause of dis-ease which leads to pelvic conglutination and fallopian obstruction.The patients which are suspected with pelvic disease or with unknown infertility should be operated by laparoscopy as soon as possible.